(Psychology Revivals) Lewis R. Wolberg - The Practice of Psychotherapy_ 506 Questions and Answers-Routledge (2014)

Contents




Preface..................................................................................... v

I. General Aspects of Psychotherapy..................................... 3
II. Psychoanalysis....................................................................... 27
III. Psychoanalytically Oriented (Dynamic) Psychotherapy 43
IV. Behavior Therapy (BehaviorModification)....................... 51
V. Group Therapy ...................................................................... 73
VI. Family T h erap y ..................................................................... 79
VII. M arital (Couples) Therapy .................................................. 89
VIII. Cognitive T herapy................................................................. 107
IX. Hypnosis.................................................................................. 113
X. Somatic Therapy ................................................................... 127
XI. Short-term Therapy .............................................................. 143
XII. Miscellaneous T herapies...................................................... 147
XIII. Emergencies............................................................................ 161
XIV. Psychotherapeutic Practices................................................ 165
XV. Psychotherapy in Special Conditions ................................ 179
A. Depression................................................................. 180
B. Phobias....................................................................... 191

V

,vi The Practice of Psychotherapy

C. Anxiety Reactions .............................. 193
D. Alcoholism .......................................... 194
E. Schizophrenia .................................... 198
F. Chronic Mentally III .......................... 232
G. Personality Disorders ........................ 241
H. Miscellaneous Problem s................... 250
XVI. Transference and Countertransference ..... 263
XVII. Theoretical A spects........................................ 277
XVIII. D evelopm ent.................................................... 285
XIX. Psychodynamics.............................................. 297
XX. Prognosis.......................................................... 303
XXI. O utcom e........................................................... 311
XXII. Cost-Effectiveness of Psychotherapy .......... 325
XXIII. Prevention........................................................ 331
XXIV. Conclusion........................................................ 335
References......................................................... 379
Name In d e x ...................................................... 393
Subjectlndex .................................................. 399

, THE
PRACTICE
OF
PSYCHOTHERAPY
506 Questions and Answers

, I. General Aspects
of Psychotherapy



A puzzling phenomenon th at vexes many students is the continuing
parade of new psychotherapies th at burst into the therapeutic arena
like lions, only to slink out in defeat like lambs. Is the constant influx
of desultory techniques testimony to the sterility of present-day con­
ventional approaches? The facts th at approximately two-thirds of all
patients improve with psychotherapy, irrespective of type, and th at
statistical studies reveal little superiority of any one treatm ent method
have raised the knotty point as to whether techniques are mere epi-
phenomena th at are secondary to more important factors operating in
the therapeutic situation. Many uncertainties confound the clinician
who seeks clarification about amorphous issues that invest psycho­
therapy. Some of these issues are raised in questions contained in this
section. These concern themselves with topics of general interest re­
lated to a number of themes including: the basic ingredients of psy­
chotherapy; factors th at make for therapeutic change; therapist and
patient characteristics that result in good or bad therapy; the utility
of eclecticism in method; modes of enhancing a therapeutic alliance;
the matching of patients and therapists; the impact of cultural factors;
the role of insight; acting-out phenomena; resistance to termination;
the effect of changing therapists; present-day training needs and prob­
lems; working with cotherapists; the use of paraprofessionals and men­
tal health aides; and the difficulties of informed consent.
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